title: Epiphysiodesis for bilateral irregular closure of the distal radial physis in a gymnast.
abstract: Wrist pain is a common complaint in gymnasts. Repetitive stress on the distal radial physis may lead to either gradual slipping of the epiphysis or growth disturbances. In some cases growth disturbances of the distal radial physis lead to triangulation of the distal radius and secondary ulnar overgrowth, and eventually a Madelung-like deformity. The present case report is the first to describe the outcome of epiphysiodesis of the distal radial and ulnar growth plates in a skeletally immature gymnast as a surgical treatment to prevent Madelung's deformity.
authors.affiliation: Department of Orthopaedics, Gentofte Hospital, University of Copenhagen, Denmark.
authors.forename: K
authors.initials: K
authors.lastname: Bak
authors.forename: M
authors.initials: M
authors.lastname: Boeckstyns
mesh_terms: D000293:Adolescent; D001848:Bone Diseases, Developmental / Q000209:etiology / Q000517:prevention & control; D012090:Cumulative Trauma Disorders / Q000601:surgery*; D004838:Epiphyses / Q000293:injuries / Q000601:surgery*; D004839:Epiphyses, Slipped / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006132:Growth Plate / Q000601:surgery*; D006173:Gymnastics / Q000293:injuries*; D006226:Hand Deformities / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007592:Joint Diseases / Q000209:etiology / Q000517:prevention & control; D011884:Radius / Q000293:injuries / Q000601:surgery*; D000072042:Salter-Harris Fractures; D016896:Treatment Outcome; D014457:Ulna / Q000293:injuries / Q000601:surgery*; D014954:Wrist Injuries / Q000601:surgery*